Unanticipated hospital admission in pediatric patients with congenital heart disease undergoing ambulatory noncardiac surgical procedures

Paediatric Anaesthesia
Koichi YukiJames A DiNardo

Abstract

An increasing number of surgical and nonsurgical procedures are being performed on an ambulatory basis in children. Analysis of a large group of pediatric patients with congenital heart disease undergoing ambulatory procedures has not been undertaken. The objective of this study was to characterize the profile of children with congenital heart disease who underwent noncardiac procedures on an ambulatory basis at our institution, to determine the incidence of adverse cardiovascular and respiratory adverse events, and to determine the risk factors for unscheduled hospital admission. This is a retrospective study of children with congenital heart disease who underwent noncardiac procedures on an ambulatory basis in a single center. Using the electronic preoperative anesthesia evaluation form, we identified 3010 patients with congenital heart disease who underwent noncardiac procedures of which 1028 (34.1%) were scheduled to occur on an ambulatory basis. Demographic, echocardiographic and functional status data, cardiovascular and respiratory adverse events, and reasons for postprocedure admission were recorded. Univariable analysis was conducted. The unplanned hospital admission was 2.7% and univariable analysis demonstrated that ...Continue Reading

References

Jun 27, 2002·Journal of the American College of Cardiology·Julien I E Hoffman, Samuel Kaplan
May 15, 2004·European Journal of Anaesthesiology·I T AwadD Warde
Aug 31, 2010·Anesthesia and Analgesia·Jennifer A RabbittsRandall Flick
Apr 23, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Amanda WhippeyHeung Kan Ma
Feb 20, 2016·Journal of the American College of Cardiology·David FaraoniJames A DiNardo

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Citations

Mar 5, 2019·Laryngoscope Investigative Otolaryngology·Rebecca MillerJennifer N Cooper

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